Successful treatment of acute symptomatic extensive portal venous system thrombosis by 7-day systemic thrombolysis  

作　　者：Fang-Bo Gao Le Wang Wen-Xiu Zhang Xiao-Dong Shao Xiao-Zhong Guo Xing-Shun Qi 

机构地区：[1]Department of Gastroenterology,General Hospital of Northern Theater Command,Shenyang 110840,Liaoning Province,China [2]Postgraduate College,Shenyang Pharmaceutical University,Shenyang 110016,Liaoning Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2022年第9期1082-1088,共7页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Acute portal venous system thrombosis(PVST)can cause acute mesenteric ischemia and even intestinal infarction,which are potentially fatal,and requires recanalization in a timely fashion.Herein,we report a 56-year-old man with acute non-cirrhotic symptomatic extensive PVST who achieved portal vein recanalization after systemic thrombolysis combined with anticoagulation.Initially,anticoagulation with enoxaparin sodium for 4 d was ineffective,and then systemic thrombolysis for 7 d was added.After that,his abdominal pain completely disappeared,and portal vein system vessels became gradually patent.Long-term anticoagulation therapy was maintained.In conclusion,7-d systemic thrombolysis may be an effective and safe choice of treatment for acute symptomatic extensive PVST which does not respond to anticoagulation therapy.

关 键 词：Portal vein Mesenteric vein THROMBOSIS THROMBOLYSIS ANTICOAGULATION Deep vein thrombosis 

分 类 号：R575.2[医药卫生—消化系统]